OrganizationActive
Creative Image Personal Care Service LLC
NPI 1164964003 · Respite Care · Indianola, MS
Provider details
- NPI number
- 1164964003
- Entity type
- Organization
- Primary specialty
- Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Chandra Thomas, Ceo/Owner(662) 379-0238
- License
- 311ZA0620X-ADULTCARE
Specialties & taxonomies
Respite Care Facility
Nursing & Custodial Care Facilities
Practice location
503 Highway 82 E
Indianola, MS 38751-2317
Phone: (662) 379-0238
Fax: (662) 887-8050
Approximate (ZIP-level) locationGet directions
Mailing address
216 French Rd
Indianola, MS 38751-9668
Other names (DBA / former)
- Doing business as
- Creative Image Respite Care Service LLC
Registry dates
- Enumerated
- 2016-11-09
- Last updated
- 2016-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.